KATHLEEN FISHER (NPI# 1770684078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770684078 |
| Entity Type | Individual |
| Full Name | KATHLEEN FISHER |
| Credential | RN |
| Practice Address |
750 N Freedom Blvd Provo UT 84601-1677 |
| Practice Telephone | 8013734760 |
| Mailing Telephone | 8013734760 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
191991-3102 | UT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058758 | Kathleen Ellen Fisher | Licensed Practical Nurse | 300 W 24th St, Kearney, NE 68845-5345 | 2018-03-28 |
| 1730648338 | Kathleen Fisher | Occupational Therapist | 229 N Sheldon Rd, Plymouth, MI 48170-1524 | 2019-03-14 |
| 1669800272 | Kathleen Fisher | Counselor | 530 Main Ave, Passaic, NJ 07055-5700 | 2013-10-16 |
| 1730200106 | Kathleen O Fisher | Pharmacist | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2007-04-03 |
| 1851439285 | Kathleen D Fisher | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-02-01 |
| 1003969973 | Kathleen Mary Fisher | Nurse Practitioner | 944 Baldwin Rd, Lapeer, MI 48446-3089 | 2007-01-22 |
| 1659460582 | Kathleen Mary Fisher | Registered Nurse | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-10-11 |
| 1427142215 | Kathleen Fisher | Nurse Anesthetist, Certified Registered | 2251 N Shore Dr, Rhinelander, WI 54501-8360 | 2006-10-03 |
| 1730287459 | Kathleen Mary Fisher | Pediatrics | One Medical Center Dr, Lebanon, NH 03756 | 2006-09-20 |
| 1073501102 | Kathleen L Fisher | Nurse Practitioner | 10012 Kennerly Rd, Suite 204, Saint Louis, MO 63128-2197 | 2005-10-12 |
| Street Address |
750 N FREEDOM BLVD |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679551634 | Amy Buehler | Social Worker | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2006-01-09 |
| 1437750270 | Michael Stevenson | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-11-06 |
| 1174122683 | Alyssa Ketler | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1770183261 | Kaitlin Buckway | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-26 |
| 1841899465 | Linda Madsen Fifita | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-23 |
| 1427657352 | Jessica Ray Clyde | Licensed Practical Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 1134728033 | Tyra Tsosie | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-21 |
| 1457950529 | Justin Jacobson | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-20 |
| 1881293264 | Kurt Louis Candalot | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-18 |
| 1265030613 | Ailaina Nicole Herman Rice | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2020-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255968681 | Tiffani Petersen | Registered Nurse | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-25 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1962961136 | Kristine Wisdom | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-03-18 |
| 1043723125 | Mindy Anne Spencer | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-11-10 |
| 1972015675 | Lisa Marion Sladyk | Registered Nurse | 1161 E 300 N, Provo, UT 84606-3539 | 2017-11-02 |
| 1376065375 | Natalie Clark | Registered Nurse | 750 N Freedom Blvd # 200w, Provo, UT 84601-1677 | 2017-07-11 |
| 1104366558 | Melanie Winsor | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-03-06 |
| 1063962140 | Gary Webb | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-10-12 |
| 1912369679 | Rosemary Parson | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-22 |
| 1386005569 | Brittany Antoine | Registered Nurse | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-15 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on KATHLEEN FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.